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General NPI Number Information
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NPI Number | 1629692710
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Entity Type | Organization
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Legal Business Name | PROVISION HOME CARE AGENCY, LLC
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 3516 VEST MILL RD STE A
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3070
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Country | US
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Telephone | 336-300-9005
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Fax |
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Provider Business Mailing Address
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Address Line | 3516 VEST MILL RD STE A
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City | WINSTON SALEM
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State | NC
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Zip | 27103-3070
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Country | US
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Telephone | 336-300-9005
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BERTHA GRINTON MITCHELL
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Credential |
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Telephone | 336-300-9005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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